Patient's question:
No virus detected, Alanine aminotransferase (ALT) and Aspartate aminotransferase (AST) levels were all within normal range, and I was discharged. After more than a month, ALT and AST levels dropped again. Focused hospitalization, still no virus found, all test results negative. A few days ago, I went for a check-up, blood test results haven't come out yet, but based on the ultrasound, the doctor who did the ultrasound said it was liver disease caused by blood flukes!Doctor's answer:
The blood fluke is a parasitic cercaria that enters the human body through the skin, feeding on the venous system. Acute schistosomiasis, which is often the initial infection, commonly presents with rash, fever, cough, chest pain, abdominal pain, nausea, and vomiting, as well as hepatosplenomegaly. It may also cause jaundice and kidney damage, typically lasting no more than six months. Chronic schistosomiasis often develops from untreated acute cases, and may be asymptomatic or manifest as abdominal pain, nausea, vomiting, and hepatosplenomegaly. Chronic schistosomiasis liver disease is harmful to the liver, causing hepatomegaly and fibrosis. In advanced stages, it can progress to cirrhosis, portal hypertension with splenomegaly, esophageal varices, and bleeding. Treatment and symptomatic management: In severe cases with malnutrition or cirrhosis, nutritional support and liver protection should be provided.